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Individual
MADYSEN MARIE OSTROWSKI
Active
Individual
MADYSEN MARIE OSTROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362480845
—
IL
Enumeration date
06/23/2014
Last updated
01/15/2020
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